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Robert Delgado
Instructor
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Posted: Tue Jan 27th, 2009 04:48 am |
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I have worked with several adults who have ITB pumps installed and treated them using the litegait with excellent results. This can be helpful in monitoring and determining the right pump settings as well as building proper sequence, step length, endurance, and confidence.
I alway would pad about the pump but not directly over the pump and never had a problem. The litegait is perfect for patients who need to retrain prior and after an ITB pump.
It looks like you did a great job and are seeing the results of mass practice at a higher intensity.
Keep up the good work.
Sincerely,
Robert Delgado, PT
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LeoCat18
Instructor
| Joined: | Mon Jun 16th, 2008 |
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| Posts: | 10 |
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Posted: Mon Jan 19th, 2009 08:44 pm |
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I use the LiteGait with a 12 y/o child who just had a baclofen pump insertion. Prior to this he was able to walk for 1 minute without increased c/o pain. I have cut a piece of foam to surround his pump (and g-tube) and place it under the vest. He is able to tolerate 5-10 minutes now and his steps are beautifull!!!! We are working on tolerating increasing time, weightbearing and stepping ability. We re-started using the LteGait 2.5 months post insertion though this was due to increased complication from surgery and him requiring to be suping for 1 month s/p insertion. After that we were too buisy getting his equipment and bracing in order.
Jennifer Rosen
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amirseif
Super Moderator
| Joined: | Fri Jun 2nd, 2006 |
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| Posts: | 12 |
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Posted: Mon Nov 3rd, 2008 06:45 pm |
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The main precaution with LiteGait regarding Baclofen pump or any other issues of concern is the distribution of load to the abdominal and groin area. You can avoid putting any load directly on to the pump by padding the area around it. You can roll a towel into a donut shape and place it around the pump area - specially if due to small size of the child the pump is rather pushed out. You could also use two pieces of dense foam on either side of the pump area of the stomach and therefore once the harness is applied the load will be diverted away from the pump.
Of course baclofen's effect on motor function will be at work during treatment, the reduction of tone often could be accompanied by a reduction of overall strength. This makes LG environment the best place to both accommodate the lower motor output and also take advantage of the lower tone to build good patterns of walking.
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tdpt
Member
| Joined: | Mon Jun 23rd, 2008 |
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| Posts: | 1 |
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Posted: Mon Nov 3rd, 2008 12:50 pm |
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Hello.
We have a patient that has a implanted baclofen pump that we would like to use the lite gait with. I was wondering if there are any contraindications, precautions, suggestions in harness application regarding this device or any other information out there regarding lite gait use and the baclofen pump.
Thank you very much.
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